The Centers for Medicare & Medicaid Services released the Calendar Year 2025 Advance Notice for the Medicare Advantage and Medicare Part D Prescription Drug Programs that would update payment policies for these programs.
Wire Reports
Tax bill advanced in rare bipartisan House vote
Both Democrats and Republicans in Congress showed strong support for the Child Tax Credit and some business tax breaks as the House voted to send a bipartisan tax package to the Senate on Wednesday.
CMS proposal would make several changes to ACA health plans
Including adult dental care as an essential health benefit and improving access to prescription drugs are among the proposed changes.
Cigna, Humana put the brakes on possible merger
Cigna and Humana are holding off on a possible merger while Cigna focuses on $10 billion buyback.
Employers face complications after ruling on copay accumulator programs
A recent federal court decision means that employers taking advantage of copay accumulator programs now face unexpected administrative complications.
President Biden to announce new actions to protect retirement security by cracking Down on junk fees in retirement investment advice.
Kaiser Permanente and unions near agreement after historic strike
Kaiser Permanente’s frontline health care workers unions reached a tentative deal with the company today after the nation’s largest recorded medical sector strike.
Biden administration looking to expand coverage of OTC birth control, other products
Insurers usually don’t cover over-the-counter products but that could change as the Biden administration seeks to expand insurance coverage of products such as an OTC birth control pill and other items.
About a half-million people who had their Medicaid and Children’s Health Insurance Program coverage terminated were reinstated into coverage after computer errors in many states were corrected, the Centers for Medicare and Medicaid Services announced.
Some Medicare recipients could save money on 34 prescription drugs
The Centers for Medicare & Medicaid Services announced the list of 34 prescription drugs that may have a lower cost for Part B beneficiaries between Oct. 1 and Dec. 31.
Medicare announces first 10 drugs subject to price negotiations
Blood thinners and diabetes drugs head up the list of prescription medications up for negotiations.
Customers of Friday Health Plans of North Carolina have until the end of the day on Thursday, Aug. 31 to choose a new health insurance plan.
Fewer Wisconsin residents are enrolled in short-term health plans since 2019, and those plans have a rate of claim denials that far exceeds that of health plans offered on the Affordable Care Act marketplace in that state.
The New York State Department of Financial Service has proposed the nation’s most comprehensive set of market rules for pharmacy benefit managers in that state.
Friday Health Plan policyholders in North Carolina must select new coverage
Insurance Commissioner Mike Causey announced today that Friday Health Plans of North Carolina was placed into receivership, effective July 16. Liquidation of Friday Health Plans-NC will occur Sept. 1.
Mental health parity in the spotlight under proposed rules
The Biden administration wants health insurers to increase their coverage of mental health treatments.
Colorado shuts down Friday Health Plans
Colorado regulators are pulling the plug on Friday Health Plans Colorado, a move that means more than 30,000 residents of that state must find other health coverage.
Short-term health plans subject to new rules
Short-term limited-duration health insurance plans are in the crosshairs as three federal agencies proposed rules to clamp down on the plans that some deride as “junk insurance.”
The life settlement market has shown consistent expansion, with 2022 demonstrating a strong rebound after a brief COVID induced slowdown…
Colorado seeks rehabilitation order for Friday Health Plans
Friday Health Plans has been in the crosshairs of the Colorado Division of Insurance since June 2022, and now the department has petitioned the Denver District Court for an order for rehabilitation of the troubled health insurer.
